CAJ | 학술논문

[目的]探讨“儿科宗师”钱乙的组方规律与用药特色。[方法]通过研读《小儿药证直诀》，对钱乙的临床验案及方剂药物进行分析与归纳，总结其组方用药的学术特色。[结果]钱乙的组方规律与用药特色为以下七个方面，即：化裁古方，创制新方，用药务求柔润，力戒呆补峻补，注意升降气机，用药精专以及剂型多变等。[结论]钱乙制方遣药，精炼轻灵，处处注意到小儿生理病理特点及五脏的虚实寒热，在祛邪务尽的原则下，力求攻不伤正，补不滞邪，或消补兼施，或寒温并投，并从柔润方面下功夫，以扭转世医滥用香燥刚伐药物的偏向，对后世儿科医家的组方用药产生了深远影响。
[목적]탐토“인과종사”전을적조방규률여용약특색。[방법]통과연독《소인약증직결》，대전을적림상험안급방제약물진행분석여귀납，총결기조방용약적학술특색。[결과]전을적조방규률여용약특색위이하칠개방면，즉：화재고방，창제신방，용약무구유윤，력계태보준보，주의승강기궤，용약정전이급제형다변등。[결론]전을제방견약，정련경령，처처주의도소인생리병리특점급오장적허실한열，재거사무진적원칙하，력구공불상정，보불체사，혹소보겸시，혹한온병투，병종유윤방면하공부，이뉴전세의람용향조강벌약물적편향，대후세인과의가적조방용약산생료심원영향。
Objective]To analyze the prescriptions organization principle and medicine usage characteristics of Qian Yi, the great master of pediatrics. [Method]Through reading the book, Xiao'er Yao Zheng Zhi Jue, we analyze Qian Yi's medical records and prescriptions and summarize his medicine usage characteristics. [Result]We summarize the prescriptions organization principle and medicine usage characteristics as seven respects. They are changing old prescriptions, creating new prescriptions, medicate gently, never reinforcing the sluggish and violent, noticing the ascending and descending qi activity, medicating accurately and drug forms changeable, and so on.[Conclusion]Qian Yi medicated accurately and gently, noticed the children physiological and pathological Characteristics and the cold or heat, asthenia or sthenia degree of five zang-organs. Under the principle of trying one's best to remove the pathogenic factors, he emphasized that elimination did not harm healthy qi as wel as reinforcement did not stagnate pathogenic factors, and medicated either reinforcing and eliminating in combination or cold and warm simultaneously. Qian Yi strived to medicate gently, to reverse the doctors' abusing aromatic and violent medicine in that era. That has a great influence on the medicine usage of pediatricians in later era.